Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ABILITY CARE PARTNERS INCORPORATED

NPI: 1629249826 · CRYSTAL, MN 55428 · Home Health Agency · NPI assigned 03/14/2008

Billing Flags · Automated signals — not evidence of fraud
High Claims/Beneficiary Ratio

68 claims per beneficiary (threshold: 50). This could indicate intensive per-unit billing or warrant further review. Read more

Single-Code Concentration

100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.

$7.81M
Total Medicaid Paid
62,576
Total Claims
915
Beneficiaries
1
Codes Billed
2018-01
First Month
2022-11
Last Month

Provider Details

Authorized OfficialHOLLER, JOSHUA (OWNER)
NPI Enumeration Date03/14/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,892 $1.71M
2019 13,877 $1.61M
2020 13,535 $1.74M
2021 12,495 $1.68M
2022 7,777 $1.07M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 62,576 915 $7.81M